Dhaka Medical College Hospital | Health Bulletin 2015 |
Preface
Dhaka Medical College Hospital was established as a 250 bedded general hospital in 1946. British Major Virgin was the first Superintendent of Dhaka Medical College Hospital. Since then DMCH is pioneer in the undergraduate Medical Education and largest service providing hospital in this country. Subsequently It has been converted into 1800 bedded tertiary level hospital.Now a days it has been announce 2300 bedded tertiary level hospital.100 beds is for Burn Unit. Every day all type of patients from different corners of Bangladesh are reported to this hospital to get better management. We have all the speciality / sub-speciality of Medical science in this hospital. Almost all modern investigation-facilities are also available. Here we want to mention some special criteria of the hospital such as: a) we never refuse any patient for admission. b) we provide almost all medicines and MSR from this hospital. c) Emergency operation is going on round the clock in this hospital. d) All investigation facilities are available 24 hours. e) This hospital have unique team to handle Mass causality in any disaster. I would like to congratulate the initiator of this health bulletin software for setting us one step ahead toward Digital Bangladesh.
Dhaka Medical College Hospital | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Facility Dhaka Medical College Hospital
Organization Code
10000033
Name of Director Brig. Gen. Mohammad. Mizanur Rahman
Land Phone No. 1
02-055165001
Land Phone No. 2
FAX No. 055165031
Mobile No. 01715016984
Email dmch@hospi.dghs.gov.bd
GPS location of Facility Lati: 24.2747 And Long: 89.9143
Dhaka Medical College Hospital | Health Bulletin 2015 | Page# 2
Existing health facilities in the Year 2014
Facility Type
Total
No. of Beds
Medical College Hospital
1
2,600
Child health and MDG-4 (In The Facility) (Jan-Dec, 2014)
No. of Live Births: 11,624
Total No. of children treated under IMCI Program 0
Neonatal Mortality Rate (NMR) is 19.79 per 1,000 live births.
Dhaka Medical College Hospital | Health Bulletin 2015 | Page# 3
R.P.W.: Registered Pregnant Women;
1st ANC: No. of 1st ANC recipients;
4th ANC: No. of 4th ANC recipients;
C. Preg.: No. of complicated pregnancy;
N.V. deli.: No. of normal deliveries;
C. deli.: No. of cesarean deliveries;
O. deli.: No. of other deliveries;
PNC: No. of PNC services provided to the mothers;
Maternal health and MDG-5 (In The Facility) (Jan-Dec, 2014)
Total No. of Recipients Who Took at least one ANC: 6,117
Total Number of Deliveries: 12,206
No. of Maternal Death: 151
Maternal Mortality Ratio (MMR) is
1,299.04 per 100,000 live births.
Dhaka Medical College Hospital | Health Bulletin 2015 | Page# 4
No. of OPD & Emergency Visits at Tertiary Hospital
Health Facility
OPD
Emergency
Above 5 Yr
Below 5 Yr
Above 5 Yr
Below 5 Yr
.
M
F
T (M+F)
M
F
T (M+F)
Grand Total
M
F
T (M+F)
M
F
T (M+F)
Grand Total
Medical College Hospital
470,852
268,334
739,186
41,495
26,377
67,872
807,058
162,517
132,236
294,753
17,739
11,378
29,117
323,870
No. of Admissions & Deaths at Tertiary Hospital
Health Facility
Admission
Death
Above 5 Yr
Below 5 Yr
Above 5 Yr
Below 5 Yr
.
M
F
T (M+F)
M
F
T (M+F)
Grand Total
M
F
T (M+F)
M
F
T (M+F)
Grand Total
Medical College Hospital
71,769
38,807
110,576
16,798
11,282
28,080
138,656
7,356
5,771
13,127
217
175
392
13,519
Dhaka Medical College Hospital | Health Bulletin 2015 | Page# 5
Top 10 diseases according to the number of patients admitted in the Tertiary Hospital
Total number of admitted patients during the reporting period
138,653
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
I64 Stroke, not specified as haemorrhage or infarction
IX: Diseases of the circulatory system
5142
3.71
2
S069 Intracranial injury, unspecified
XIX: Injury, poisoning and certain other consequences of external causes
5388
3.89
3
V99 Unspecified transport accident
XX: External causes of morbidity and mortality
4026
2.90
4
T60 Toxic effect of pesticides
XIX: Injury, poisoning and certain other consequences of external causes
3817
2.75
5
T142 Fracture of unspecified body region
XIX: Injury, poisoning and certain other consequences of external causes
4122
2.97
6
T30 Burn and corrosion, body region unspecified
XIX: Injury, poisoning and certain other consequences of external causes
3297
2.38
7
K631 Perforation of intestine (nontraumatic)
XI: Diseases of the digestive system
2437
1.76
8
T061 Injuries of nerves and spinal cord involving other multiple body regions
XIX: Injury, poisoning and certain other consequences of external causes
2419
1.74
9
O06 Unspecified abortion
XV: Pregnancy, childbirth and the puerperium
1837
1.32
10
I20 Angina pectoris
IX: Diseases of the circulatory system
1563
1.13
Dhaka Medical College Hospital | Health Bulletin 2015 | Page#6
Top 10 diseases according to the number of deaths among admitted patients in the Tertiary Hospital during the reporting period
Total number of Deaths during the reporting period
13,519
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
V99 Unspecified transport accident
XX: External causes of morbidity and mortality
1682
12.44
2
I64 Stroke, not specified as haemorrhage or infarction
IX: Diseases of the circulatory system
1436
10.62
3
T142 Fracture of unspecified body region
XIX: Injury, poisoning and certain other consequences of external causes
772
5.71
4
S069 Intracranial injury, unspecified
XIX: Injury, poisoning and certain other consequences of external causes
638
4.72
5
I11 Hypertensive heart disease
IX: Diseases of the circulatory system
837
6.19
6
X85 Assault by drugs, medicaments and biological substances
XX: External causes of morbidity and mortality
743
5.50
7
A419 Septicaemia, unspecified
I: Certain infectious and parasitic diseases
479
3.54
8
J189 Pneumonia, unspecified
X: Diseases of the respiratory system
389
2.88
9
J449 Chronic obstructive pulmonary disease, unspecified
X: Diseases of the respiratory system
272
2.01
10
N19 Unspecified renal failure
XIV: Diseases of the genitourinary system
307
2.27
Dhaka Medical College Hospital | Health Bulletin 2015 | Page# 7
Utilization of services at Tertiary Hospital
Indicators
No.
Total Patient days in 365 days (No.)
1,028,645
Bed Occupancy Rates (%)
108.39
Average Length of Hospital Stay (No. of days per patient)
7.42
Hospital Death Rate (%)
9.75
Surgeries & Interventions done in the Tertiary Hospital
Type
No.
Major Surgeries
28,315
Minor Surgeries
36,392
Dhaka Medical College Hospital | Health Bulletin 2015 | Page# 8
Status of Human Resources (Class wise)
Class
Sanctioned
Filled-up
Vacant
Vacancy %
M
F
Class I
Doctor
525
327
152
46
8.76
Non Doctor
5
4
1
0
0.00
Class II
1329
99
787
443
33.33
Class III
344
180
22
142
41.28
Class IV
1113
679
198
236
21.2
Status of Human Resources (Category wise)
Manpower
MCH
IMCI trained
Basic EOC trained
Sanctioned
Filled-up
Physician
525
472
8
0
Nurse
1329
886
12
0
Medical Assistant
0
0
0
0
Medical Technologist
137
104
0
0
CHCP
0
0
0
0
Dhaka Medical College Hospital | Health Bulletin 2015 | Page# 9
Existing equipment at Tertiary Hospital
Equipment
Total (No.)
Functional (No.)
Non-functional
Not Installed (No.)
Repairable (No.)
Non-repairable (No.)
Radiology equipment
X-ray machine (100 mA)
0
0
0
0
0
X-ray machine (300 mA)
2
2
0
0
0
X-ray machine (500 mA)
4
4
0
0
0
X-ray machine (digital)
1
1
0
0
0
X-ray machine (portable)
4
4
0
0
0
Dental X-ray unit
0
0
0
0
0
Spiral CT Scan
2
1
1
0
0
C-arm
1
1
0
0
0
Mamogram machine
0
0
0
0
0
Dehumidifier
0
0
0
0
0
MRI machine
1
1
0
0
0
Ultrasonogram machine
6
4
2
0
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
1
1
0
0
0
Anesthesia machine without ventilator
15
12
0
3
0
Autoclave
19
9
4
6
0
Electric cautery machine
0
0
0
0
0
Diathermy machine
17
12
1
4
0
Operating microscope
2
2
0
0
0
Ceiling mounting OT Light
30
20
4
6
0
Portable OT Light
5
4
0
1
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
15
11
2
2
0
Sterilizer
27
14
4
9
0
Sucker machine (electric)
37
22
4
11
0
Ventilator
20
19
1
0
0
Dhaka Medical College Hospital | Health Bulletin 2015 | Page# 10
Existing equipment at Tartiary Hospital
Equipment
Total (No.)
Functional (No.)
Non-functional
Not Installed (No.)
Repairable (No.)
Non-repairable (No.)
Cardiology equipment
Coronary angiogram machine
1
1
0
0
0
Debrililator
2
2
0
0
0
ECG machine
3
3
0
0
0
Ecocardiogram machine
2
2
0
0
0
Cardiac monitor
20
18
0
2
0
Holter monitor
2
2
0
0
0
Nebulizer machine
40
38
2
0
0
Pulse oximeter
26
20
0
6
0
Dental equipment
Dental unit
8
4
3
1
0
Gastroeneterology equipment
Endoscopy machine
12
1
8
3
0
Laparoscopic machine
5
5
0
0
0
Dhaka Medical College Hospital | Health Bulletin 2015 | Page# 11
Existing equipment at Tertiary Hospital
Equipment
Total (No.)
Functional (No.)
Non-functional
Not Installed (No.)
Repairable (No.)
Non-repairable (No.)
Lab equipment
Biochemical auto-analyzer
2
1
1
0
0
Centrifuge machine (electric)
9
7
2
0
0
Colorimeter
5
0
3
2
0
Electrolyte analyzer
1
0
1
0
0
ELISA machine
0
0
0
0
0
Gas analyzer
0
0
0
0
0
Hormone analyzer
0
0
0
0
0
Blood cell counter
2
1
1
0
0
Microscope (binocular)
20
20
0
0
0
Obstetric equipment
Fetal Monitor
0
0
0
0
0
Ophthalmic equipment
FACO machine
2
1
1
0
0
Retinoscope
2
1
0
1
0
Pediatric equipment
Baby incubator
31
13
18
0
0
Phototherapy unit
7
7
0
0
0
Dhaka Medical College Hospital | Health Bulletin 2015 | Page# 12
Existing equipment at Tertiary Hospital
Equipment
Total (No.)
Functional (No.)
Non-functional
Not Installed
Repairable (No.)
Non-repairable (No.)
Blood bank equipment
Blood bank centrifuge
5
2
3
0
0
Laminar flow hood
0
0
0
0
0
pH meter
0
0
0
0
0
Hemoglobin photometer
0
0
0
0
0
Blood bank refrigerator
5
4
1
0
0
Blood plasma seperating machine
4
2
1
0
1
Platelet seperating machine
0
0
0
0
0
Deep freeze (plasma)
0
0
0
0
0
Deep freeze (RBC)
0
0
0
0
0
Refrigerator
0
0
0
0
0
Psichiatry equipment
ECT machine
3
3
0
0
0
EEG machine
2
2
0
0
0
Urology equipment
Cystoscopic machine
4
3
0
1
0
Vehicles
Ambulance
10
8
0
2
0
Bus
1
1
0
0
0
Jeep
2
1
0
1
0
Microbus
0
0
0
0
0
Pickup
0
0
0
0
0
Dhaka Medical College Hospital | Health Bulletin 2015 | Page# 13
Existing equipment at Tertiary Hospital
Equipment
Total (No.)
Functional (No.)
Non-functional
Not Installed
Repairable (No.)
Non-repairable (No.)
Air conditioner
Air conditioner (split type)
211
186
15
10
0
Air conditioner (window)
148
137
5
6
0
Generator
Generator (diesel/petrol)
7
5
2
0
0
Generator (gas)
0
0
0
0
0
Solar panel
0
0
0
0
0
IPS
0
0
0
0
0
ICT equipment
Computer (desktop)
38
19
14
0
5
Laptop
1
1
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
38
33
0
0
5
Scanner
0
0
0
0
0
UPS
38
38
0
0
0
Fax
1
1
0
0
0
Intercom
520
520
0
0
0
Internet fixed line
2
2
0
0
0
Internet wireless line
9
9
0
0
0
Multimedia
1
1
0
0
0
Dhaka Medical College Hospital | Health Bulletin 2015 | Page#14
Existing equipment at Tertiary Hospital
Equipment
Total (No.)
Functional (No.)
Non-functional
Not Installed
Repairable (No.)
Non-repairable (No.)
OHP
0
0
0
0
0
PA system (Sound)
1
1
0
0
0
Land phone
22
22
0
0
0
Mobile phone
1
0
1
0
0
Photocopier machine
9
3
6
0
0
Digital camera
1
1
0
0
0
Video camera
0
0
0
0
0
Total
1495
1296
111
77
11
Dhaka Medical College Hospital | Health Bulletin 2015 | Page#15
Important information and necessary issues for Dhaka Medical College Hospital
Important information and necessary issues for Dhaka Medical College Hospital I would like to address some of the important issues which if solved will help us to achieve better results in terms of patients care: 1. Shortage of manpower. Number of vacant post of class-III and Class-IV are 378. So our recommendation should be to filled up vacant post as soon as possible. 2. Nurse Patient ratio should be improved.3. Burn and Plastic Surgery Unit of DMCH is still running as a project, it should be converted to revenue budget.4. Future expansion:- i) DMCH Phase-II has established, but no required manpower is posted. ii) Bone Marrow Transplant Unit has established. iii) National Fistula Centre project has started. iv) New Palliative ward,Geriatric ward,HDU, Maxillofacial Surgery ward are established. New 40 bedded ICU will established very shortly. Finally I am very glad to publish this Health Bulletin 2014 in favour of all staffs of Dhaka Medical College Hospital. All activities and achievement are highly encouraging. Recently all the staffs and doctors of Dhaka Medical College Hospital are encouraged to receive award from the Honorable Prime Minister on the occasion of " Safe Motherhood day 2012" and Dhaka Medical Collage Hospital also Awarded Bangladesh Brand forum 2013. Thank you everybody for patience hearing. Assalamu Alaikum